DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANTONIO MANUEL PORTILLA, M.D.

Active Sole Proprietor

DR. ANTONIO MANUEL PORTILLA, M.D. is a Geriatric Medicine healthcare provider located in VILLAS DE RIO GRANDE, Puerto Rico. NPI 1164400818 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · VILLAS DE RIO GRANDE, PR

Registration Details

NPI Number
1164400818
Provider Type
Individual
Gender
Male
NPI Issued
Jan 4, 2006 (20.634579991266 yrs)
Last Updated
Jan 11, 2010
License
6735 (PR)
Sole Proprietor
Yes

Practice Information

Address
CALLE GARCIA DE LA NOCEDA B-25
VILLAS DE RIO GRANDE, PR, 00745
Browse PR providers · Browse ZIP 00745
Phone
7878873342
Primary Specialty
Geriatric Medicine
207QG0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.